Approved, SCAO

PERSONAL REPRESENTATIVE NOTICE TO THE FRIEND OF THE COURT

Thomas Henry Anderson

Estate of , decedent

1. The decedent named above died ✔ testate (leaving a will). intestate (leaving no will). The last known address of the

decedent was N8116 Highway M35, Cedar River, Michigan 49887 .

2. As required by MCL 700.3705(6), I am providing the friend of the court, in the county where this estate is being administered,
with the names and addresses of the decedent's surviving spouse and the devisees (testate estate) or the heirs (intestate estate).

The estate is being administered in Menominee County. The probate court file number is .

3.
Name of surviving spouse at time of decedent's death Name of devisee/heir

Address Address

City, state, zip City, state, zip

Karen M. Petersen
Name of devisee/heir Name of devisee/heir
N6974 State Highway M35
Address Address
Cedar River, Michigan, 49887
City, state, zip City, state, zip

Name of devisee/heir Name of devisee/heir

Address Address

City, state, zip City, state, zip

Name of devisee/heir Name of devisee/heir

Address Address

City, state, zip City, state, zip

Note: Attach additional pages if necessary. An alternative to completing item 3 is to attach a copy of the completed application
(form PC 558) or petition (form PC 559).

CERTIFICATE OF MAILING

I certify that on this date I mailed a copy of this notice to the friend of the court office in this county by first-class mail.

Date Signature

Instructions to the Personal Representative: This notice should be completed and provided to the friend of the court in the county
where the decedent's estate is being administered within 28 days of your appointment.

Do not write below this line - For friend of the court use only

PC 618 (9/06) PERSONAL REPRESENTATIVE NOTICE TO THE FRIEND OF THE COURT MCL 700.3705(6)